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AgendaItem2B-BMRC-7-21-05 Ouellette, Richard v IC/0'i CITY OF ATLANTIC BEACH BOARD/COMMITTEE MEMBER INFORMATION SHEET NAME OF BOARD/COMMITTEE. Co d c__n. Lcw�14 _-- NAME OF APPLICANT/MEMBER_ eiG' _ C,_ Cedu 1'E)_ ADDRESS 10k D 5p- ; AO 1P ^-�--At- 11-1(- B iii_IFt__zZ L 3 3 DAYTIME PHONEgD 4- ,4IH-D Zbq P��ENf4TPHONE 404 3x; 4-5G Z E-MAIL ADDRESS -41i1 _P,>!e tet(SQA N• FAX# — - --- -- N C.i 1 Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons for wishing to be appointed to this board/committee. tiVe_zi ett A& 6eggiv ‘, 0 (i&iii_ ir CL.Gll 4 ti o�, G1 _ VO er� ALL-I-14 i t _4 C_.SO4ali1_ - tktI fLk o- 1 A4_ 1,-v- _dr i cu1. _217 - it----:6---)00 4 ,i Pi°e 5i 140 t--116 u e� Ce e'E'!0. 14 _+__m __. viol lab_o- - o ► -)-k.2_ ;5 c' _ L -- lc,�,� er4'i-( 1L t,t ('-f- ______ -t � _I aci- Q -- C_e e_e4d4(.„.__L 'ait __ fiv_c&vA&Ki-"--it)_ be_._.k _ ata '.., ' - i_4 al LeLt _t_thai ta_41-/__Ta__, _w_v___ __o_a_i_he t4_2_4_,Kidi 4 v_pAAJ±(____ 4,44_,_____aaiii y_ii___f itlf 7-A/aki Iii giiiI/Jigr!, # 440,_Oki__ /4_ , ' __ ___ 1 ,l ss l 62u _La-f eek_64 eel 1 N - u_44 __QED(e,' i 14 41A,1/2 4 a il t k beat(-41‘Clii_ '' Cat/lb hi -1-4& ____aa,_,,..." £O -/ - iohem- Please return completed form to Maureen King, City Clerk, 800 Seminole Road, Atlantic Beach. FL 32233